Abdominal Exam Flashcards
1
Q
Cirrhosis exam findings
A
General inspection
- altered mental status
- wasting
- jaundice
Hands
- nails
- > terry nails
- > muehrcke
- clubbing/hypertrophic osteoarthropathy
- palmar erythema
- dupuytrens
- asterixis
Arms
- pigmentation
- excoriations
BP
-low
Face
- parotid enlargement (in alcoholic cirrhosis)
- fetor hepaticus
- scleral icterus
Chest
- spider angioma
- gynaecomastia/loss of chest and axillary hair
- telangectasias
Abdomen
- caput medusa
- distension/ascites
- liver
- > hepatomegaly variable
- > firm and nodular
- splenomegaly
- cruveilhier baumgarten murmur over epigastrium
2
Q
ddx splenomegaly
A
CHINA
- Congestive
- > CCF
- > cirrhosis
- Haematological
- > haemolytic anaemia
- > sickle cell
- Infection
- > malaria
- > EBV
- > CMV
- > HIV
- Neoplasia
- > CML
- > lymphoma
- > myelofibrosis
- Autoimmune
- > amyloidosis
- > sarcoid
- > RA (feltys)
Massive = M’s
- Myeloid leukemia
- Myelofibrosis
- mMalaria
